Event Registration

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Council Event Payments

Please complete the form below with the amount due that was emailed to you. 

In the comments box, please reference the event(s) being paid for.

Thank you for your time and support.

( * = required field )
First Name:  *  
Last Name:  *  
Address:  *  
City:  *  
State:  *  
Zip Code:  *  
Country:  *  
Phone:  *  
Email:  *  

Amount ($):  *  
Payment Frequency:  *  
Start Date:  *  
No. of Donations:  *  
Comments:

PAYMENT INFORMATION
Please select the credit card type:
Credit Card Type:  *  


Credit Card Number:  *  
(xxxxyyyyzzzzaaaa) no spaces or dashes
Expiration Date:  *     (mm/yy)
Card CVV Code:  *   3 or 4 digit code